A list of the most recent deficiencies for Rolling Hills Health Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-02-06 | 2024-03-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-06 | 2024-03-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-06 | 2024-03-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-06 | 2024-03-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-06 | 2024-03-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-06 | 2024-03-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-02-06 | 2024-03-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-06 | 2024-03-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-06 | 2023-08-16 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-07-06 | 2023-08-16 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-09-28 | 2022-10-27 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-09-28 | 2022-10-27 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-09-28 | 2022-10-27 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-09-28 | 2022-10-27 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-09-28 | 2022-10-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-28 | 2022-10-27 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-09-28 | 2022-10-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-09-28 | 2022-10-27 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-09-28 | 2022-10-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-28 | 2022-10-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-28 | 2022-10-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-09-28 | 2022-10-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-09-28 | 2022-10-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-09-28 | 2022-10-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-28 | 2022-10-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-09-28 | 2022-10-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-28 | 2022-10-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-14 | 2022-08-25 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-07-14 | 2022-08-25 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-07-14 | 2022-08-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-14 | 2022-08-25 | N |
| Provide activities to meet all resident's needs. | Health | 2022-07-14 | 2022-08-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-14 | 2022-08-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-14 | 2022-08-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-14 | 2022-08-25 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-07-14 | 2022-08-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-14 | 2022-08-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-07-14 | 2022-08-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-14 | 2022-08-25 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-07-14 | 2022-08-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-02 | 2022-03-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-16 | 2021-12-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-16 | 2021-12-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-12-16 | 2021-12-16 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-04-06 | 2021-04-15 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-04-06 | 2021-04-15 | N |
| Install noncombustible or limited-combustible interior walls. | Fire Safety | 2021-04-06 | 2021-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-06 | 2021-04-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-06 | 2021-04-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-06 | 2021-04-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-08 | 2021-03-17 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-03-08 | 2021-03-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-08 | 2021-03-17 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-03-08 | 2021-03-08 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-11 | Not Fixed | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-01-11 | Not Fixed | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-01-11 | Not Fixed | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-01-11 | Not Fixed | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-11 | Not Fixed | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-11 | Not Fixed | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-01-11 | Not Fixed | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-11 | Not Fixed | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-01-11 | Not Fixed | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-11 | Not Fixed | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-01-11 | Not Fixed | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-01-11 | Not Fixed | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-01-11 | Not Fixed | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-01-11 | Not Fixed | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-01-11 | Not Fixed | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-01-11 | Not Fixed | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-11 | Not Fixed | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-11 | Not Fixed | N |
